MICHELLE RENEE ESTEP (NPI# 1063631141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063631141 |
| Entity Type | Individual |
| Full Name | MICHELLE RENEE ESTEP |
| Other Name | MICHELLE RENEE SUTTON |
| Credential | M.D. |
| Practice Address |
4011 Gateway Blvd Newburgh IN 47630-8947 |
| Mailing Address |
Po Box 3407 Evansville IN 47733-3407 |
| Practice Telephone | 8128423880 |
| Practice Fax Number | 8128423916 |
| Mailing Telephone | 8128423880 |
| Mailing Fax Number | 8128423916 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 01071245A | IN | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
01071245A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE PTAN | 302I816382 | 01 |
| MS | 02527537 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245896653 | Michelle May Estep | Student in an Organized Health Care Education/Training Program | 901 N Kings Hwy, Myrtle Beach, SC 29577-3722 | 2019-05-13 |
| Street Address |
4011 GATEWAY BLVD |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-8947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194703959 | Maria C Ranola | Pediatrics | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2006-01-03 |
| 1275145369 | Amy Sullivan | Nurse Practitioner | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2020-08-19 |
| 1649818394 | Allyson Alloway | Pharmacist | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2019-12-12 |
| 1194377424 | Emily Morehead | Dietitian, Registered | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2019-07-16 |
| 1376031468 | Deaconess Hospital, Inc | Health Educator | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2018-04-25 |
| 1871013698 | Emily Lentz | Speech-Language Pathologist | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2017-06-22 |
| 1649400623 | Michelle L Simon | Physical Therapy Assistant | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2009-07-23 |
| 1720214166 | Jamie Kostrzebski | Occupational Therapist | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2009-05-29 |
| 1205000908 | Ryan Christopher Tomlinson | Anesthesiology | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2008-04-15 |
| 1548469331 | Mary Ann E Palmer | Speech-Language Pathologist | 4011 Gateway Blvd, Newburgh, IN 47630 | 2007-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619219995 | Casey Kathleen Mccluskey | Pediatrics | 705 Riley Hospital Dr Rm 5867, Pediatric Residency Program Indiana University Som, Indianapolis, IN 46202-5109 | 2013-03-25 |
| 1225169196 | Pediatric Pulmonary & Critical Care, PC | Pediatrics | 7910 West Jefferson Blvd., Ste 205, Fort Wayne, IN 46804-4159 | 2007-03-09 |
| 1023198926 | Pediatric Specialty Physicians, PC | Pediatrics | 7429 Inverness Commons, Fort Wayne, IN 46804-3837 | 2006-10-16 |
| 1336161868 | Chandrashekhar Yalamanchali | Pediatrics | 11123 Parkview Plaza Dr Ste 202, Fort Wayne, IN 46845-1707 | 2006-07-24 |
| 1467408237 | Beacon Medical Group, Inc. | Pediatrics | 615 N Michigan St Fl 5, South Bend, IN 46601 | 2006-05-25 |
| 1962496661 | Susanna R Burkhead | Pediatrics | 3700 Washington Avenue, Evansville, IN 47750-0001 | 2005-09-08 |
| 1184012130 | Hari Rasad Gourabathini | Pediatrics | 615 N Michigan St Fl 5, South Bend, IN 46601-1033 | 2014-12-29 |
| 1396001194 | Michelle M Gombas | Pediatrics | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2012-04-05 |
| 1972892958 | Patrick J Noonan | Pediatrics | 7950 W Jefferson Blvd Ste 210, Fort Wayne, IN 46804-4140 | 2011-03-30 |
| 1194954420 | Paul William Halczenko | Pediatrics | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2009-07-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.